DR. IAN ANDREW JACKSON (M.D.) – Family Medicine Physician, NPI 1598084691

DR. IAN ANDREW JACKSON (M.D.) is a healthcare provider. based in Stevensville, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 51389 (TN). The NPI Number for DR. IAN ANDREW JACKSON (M.D.) is 1598084691

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. IAN ANDREW JACKSON (M.D.)
NPI
1598084691
Phone
(269) 429-9644
Address
5515 CLEVELAND AVE
Enumeration Date
28 May 2010
Last Update Date
4 December 2015

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2699275400
Graduation Year
2010 (16 years ago)
PAC ID
0244554277
Group Practice PAC ID
9537061254
Professional Enrollment ID
I20151214001575
Address ID
MI490223881BE800XXMXXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:16State licenses:4Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for DR. IAN ANDREW JACKSON (M.D.)

  • 5515 CLEVELAND AVE

    STEVENSVILLE, MI 491279670

    Phone: (269) 429-9644

    Fax: (269) 429-4002

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($35).

Total Amount

$57

General + Research + Ownership

Payments

2

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$35
Grifols USA, LLC$22
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151214001575IFamily PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes147100$0
99213Established patient office or other outpatient visit, 20-29 minutes11993$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8383$0
36415Insertion of needle into vein for collection of blood sample7259$0
G0008Administration of influenza virus vaccine2928$0
View full utilization report →

Insurance plans in this area (ZIP 49127)

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Provider's Procedures

DR. IAN ANDREW JACKSON (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI81002Urinalysis, manual test3029
FAMILY MEDICINEMI90670Pneumococcal vaccine for injection into muscle3131

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537061254View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Family PracticeMI
Mental Health CounselorMI
Internal MedicineMI
Family PracticeMI
Family PracticeMI
Family PracticeMI
-MI
Family PracticeMI
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. IAN ANDREW JACKSON (M.D.)'s NPI?
Yes. DR. IAN ANDREW JACKSON (M.D.) is listed with NPI 1598084691 in the public NPI dataset.
Can I rely on DR. IAN ANDREW JACKSON (M.D.) being an active provider?
As of the registry snapshot, DR. IAN ANDREW JACKSON (M.D.) is marked active.
What healthcare role does DR. IAN ANDREW JACKSON (M.D.) hold?
Scheduling teams often label DR. IAN ANDREW JACKSON (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. IAN ANDREW JACKSON (M.D.) on a map?
Expect Stevensville, Michigan as a primary anchor for DR. IAN ANDREW JACKSON (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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